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HomeMy WebLinkAboutHomestead_Copeland INDIANA SALES DISCLOSUREFORd1 SDF ID - SD01D 1800105 Paget I D.PREPARER - . - Kimberly A.Lewis Office Manager Preparer of the Soles Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim.bti @mvttwcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - • Donald W.Fritz Shirley D.Fritz Seller 1•Name as appears on conveyance document Seller 2.Name as appears on conveyance document 308 Makemson Ave. 308 Makemson Ave. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton,IN 47670- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn lete as required by law,and i repared in accordance with IC 6-1.1-5.5,"Real Pro erty Sales Disclosure Act". rp Signature of Seller rf/ Signature of Seller di A. — 7i 2—/ t '.. s .. , .. . •.. r.... . r F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTITAX DEDUCTIONS-IDENTIFY ALL1TEMS THAT APPLY " •• Jilissa M. Copeland Buyer 1•Name as appears an conveyance document Buyer 2-Name as appears an conveyance document 1506 Linwnnd Ave. FILED Address(Number and Street) Address(Number and Street) Valparaiso, IN 46383 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT A Y. YES NO CONDITION YES NO CONDITION L � © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead GIBSON COUNTY AUDITOR residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 3418 S SR 57 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Oakland Ciry,IN 47660 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County ❑ El 2.Does the buyer have a homestead in Indiana to be El © 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) City,State ZIP Code County — 13a6-LIDO- sea 299 0 Primary property owner contact name E-mall